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2013/2014 Emergency Medical Authorization Form Website: www.deerparkdance.org Email: info deerparkdance.org Facebook: deer park dance program Phone: 5139678195 4045 Deer Park Avenue, Deer Park, Ohio
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How to fill out the 2013-2014 emergency medical form:

01
Start by carefully reading through the form to understand the information required.
02
Fill in your personal details accurately, including your full name, address, date of birth, and contact information.
03
Provide your emergency contact information, including the name, phone number, and relationship of someone who should be contacted in case of an emergency.
04
Indicate any known allergies or medical conditions that you have. If you have multiple allergies or conditions, be sure to provide detailed information about each one.
05
List the medications you are currently taking, including the dosage and frequency.
06
If applicable, provide information about your primary care physician or any other healthcare professionals involved in your medical care.
07
Sign and date the form to indicate that the information provided is accurate to the best of your knowledge.
08
Return the completed form to the appropriate recipient or organization.

Who needs the 2013-2014 emergency medical form?

01
Students: Many schools and educational institutions require students to fill out an emergency medical form each academic year. This helps ensure that the school is aware of any medical conditions or allergies a student may have in case of an emergency.
02
Employees: Some companies or organizations may require their employees to fill out emergency medical forms. This helps the employer better prepare for any medical situations that may arise while the employee is at work.
03
Sports participants: Athletes or sports team members often need to fill out emergency medical forms as part of their participation requirements. This allows coaches, trainers, and other medical personnel to be aware of any pre-existing medical conditions or allergies that could affect the athlete's performance or safety.
04
Individuals with chronic illnesses: People who have chronic illnesses or medical conditions may choose to carry an emergency medical form with them at all times. This ensures that healthcare professionals have immediate access to critical medical information in case of an emergency.
05
Travelers: Some travel agencies or tour operators may require travelers to complete an emergency medical form before embarking on a trip. This is to ensure that medical professionals in the destination country are aware of any pre-existing medical conditions or allergies that may require attention during the trip.
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Emergency medical form is a document used to record important medical information of an individual in case of a medical emergency.
Emergency medical forms are typically required to be filed by individuals with pre-existing medical conditions or allergies.
To fill out an emergency medical form, one must provide their personal information, medical history, current medications, allergies, and emergency contact information.
The purpose of emergency medical form is to ensure that medical personnel have access to critical medical information in case of an emergency.
Information such as name, date of birth, medical history, allergies, current medications, emergency contacts, and any special medical instructions must be reported on an emergency medical form.
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